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| Cigna | Breast Reconstruction Following Mastectomy or Lumpectomy - (0178) | 2026-04-15 |
| Cigna | Breast Implant Removal - (0048) ---- future effective policy | 2026-04-15 |
| Cigna | Category III Current Procedural Terminology (CPT®) Codes - (0558) ---- future effective policy | 2026-04-15 |
| Cigna | Cardiac Ablation of Abnormal Electrical Rhythms - (0529) | 2026-04-15 |
| HealthPartners | Prosthesis – lower limb – Minnesota Health Care | 2026-04-15 |
| Cigna | Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery - (0481) | 2026-04-15 |
| BCBS Premera WA AK Clinical | Knee Arthroplasty in Adults | 2026-04-15 |
| Paramount Healthcare | Hyperbaric Oxygen Therapy (HBOT) | 2026-04-15 |
| Cigna | Glaucoma Surgical Procedures - (0035) | 2026-04-15 |